DEPARTMENT OF INSURANCE

Affiliations

Name	Pedersen, Caleb	DOIID	1028137	NAIC NPN	18550608

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/12/2019		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/10/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/15/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/10/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	3/10/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/29/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/25/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/25/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/15/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/23/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	12/12/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/20/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/19/2019	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/7/2019	12/19/2019
Active	Humana Insurance Company	301104	Agent - Health	9/18/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/18/2019	12/12/2024
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/21/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/10/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/25/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/25/2020	10/11/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/25/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/25/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/29/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/20/2019	4/29/2021